This interactive 2-day training is intended for healthcare practitioners, medical billers, coders, auditors, office managers and IT professionals involved with authoring clinical documentation, generating E&M progress notes, auditing professional physician service claims and maintaining a healthy revenue cycle. The primary course focus will emphasis documentation guidelines set forth by CMS for reporting Evaluation and Management services (E&M), as defined by CPT. The curriculum will provide attendees with a strong grasp of Evaluation and Management auditing, coding and documentation techniques.

The curriculum is designed to assist in development and mastery of the necessary skill set to successfully audit Evaluation and Management (E&M) services. This education and training has been designed to promote compliance and minimize the risk mitigation associated with post-payment review and 3rd party audit exposure.

Curriculum specifics will include:

•The “Key Components” associated with E&M code selection

•The differences between the CPT and CMS E&M documentation guidelines

•Discuss the use of utilization benchmarks to target potential risk areas

•Explain the differences between the 1995 and 1997 examination guidelines

•Determining the complexity of medical decision making (MDM)

•The importance to ‘link’ ICD-10-CM codes to E&M services

•Risks associated with certain EHRs solutions (e.g, “wizards”)

•Distinguishing “problem-oriented” from “preventive” E&M services

•What to look for when modifiers are reported with E&M services (e.g., -25)

Day 1 of the program primarily focuses on instruction and review of pertinent source documents (e.g., AMA’s 2018 CPT guidelines andCMS’ E&M Documentation Guidelinesand some of the categories of E&M services located in CPT.

Day 2 of the program will be used to reinforce Day 1 learning objectives while focusing on specific categories of E&M service. There will be a series of hands-on cases for instructor-led audit instruction followed by individual or small group audits of cases presented by class attendees.

IMPORTANT! - For added value - bring your own notes for solo or small group review so you walk out with completed audits! Please be sure to remove any and all information that can identify the patient- this is known as being HIPAA de-identified.

Attendee Responsibilities:Each attendee is expected to present to class with the following:

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding. The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians.

The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 10AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Exam Info:

After completing the 2 day bootcamp you will be given access to the optional 100 certification exam.This will be emailed to each attendee approximately 1 week after the class date.